Active NPI
Border Skilled Services, Inc.
- Home Health Agency
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BORDER SKILLED SERVICES, INC.
- Practice address
- 6425 Polaris Drive
Ste. 11
Laredo, TX 78041-2050 - Phone
- (956) 724-9999
- Fax
- (956) 717-8854
- NPI assigned
- May 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alberto Garza-Gongora
- Title
- President - Cfo
- Phone
- (956) 724-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6425 Polaris Drive
Ste. 11
Laredo, TX 78041-2050
Mailing address
6425 Polaris Drive
Ste. 11
Laredo, TX 78041-2050
Phone (956) 724-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080228000208 | TX | Part A Provider - Home Health Agency | 0840374955 | Practice locations: Laredo, TX |
Home health agency certification: CCN 747258
- Legal name
- BORDER SKILLED SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 12, 2009
- Last certification
- Mar 24, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 3, 2007 in TX
- Enrollment address
- 6425 Polaris Drive
Suite 11
Laredo, TX 78041-1995
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Border Skilled Services Inc
- Ownership
- Proprietary
- Certified
- Jun 12, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1071035 | Border Skilled Services Inc | Certificate of waiver | Jul 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
6425 Polaris Dr
Ste 11
Laredo, TX 78041
Phone (956) 724-9999
5904 San Bernardo Ave
Laredo, TX 78041
Phone (956) 724-9999
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Fernando Prince | Operational/Managerial Control | Jan 9, 2018 | |
| Alberto Garza-Gongora | 5% Or Greater Direct Ownership Interest | Feb 1, 2008 | |
| Celinda Gonzalez | Operational/Managerial Control | Nov 29, 2010 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363651200000",
"number": "1992907281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 POLARIS DRIVE",
"address_2": "STE. 11",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412050",
"telephone_number": "956-724-9999",
"fax_number": "956-717-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 POLARIS DRIVE",
"address_2": "STE. 11",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412050",
"telephone_number": "956-724-9999",
"fax_number": "956-717-8854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORDER SKILLED SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2013-03-19",
"status": "A",
"authorized_official_last_name": "GARZA-GONGORA",
"authorized_official_first_name": "ALBERTO",
"authorized_official_title_or_position": "PRESIDENT - CFO",
"authorized_official_telephone_number": "956-724-9999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
- Border Region MHMR Community Center
- Border Region MHMR Community Center
- Border Region MHMR Community Center
- Border Region MHMR Youth Empowerment Services Waiver
- Border Region Primary Healthcare
- Bordermed Solutions LLC
- Ilse Elisa Borrego
- Guadelupe Botello, LCDC
- Edna Guadalupe Bouchot
- Bravo Adult Day Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.